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A Comparison of SIEA/SCIA and DIEP Flaps for Autologous Breast Reconstruction.
The deep inferior epigastric perforator (DIEP) flap is considered the gold standard for autologous breast reconstruction (ABR). Less commonly used abdominal flaps include the superficial inferior epigastric artery (SIEA) and the superficial…
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GLP-1 Receptor Agonist Use and Wound Outcomes After Free Flap Breast Reconstruction.
Background Glucagon-like peptide-1 receptor agonists (GLP-1s) are increasingly used for glycemic control and weight loss, but their impact on surgical wound complications remains unclear. Some studies suggest GLP-1s reduce complications suc…
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Modern Trends in Hospital-Based Cosmetic Surgery Use across Racial and Ethnic Groups.
[BACKGROUND] Historically, cosmetic surgery has been primarily used by White patients. However, in recent decades, the population in the United States has become increasingly diversified. It is unknown how these national demographic changes…
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The Impact of Intraoperative Methadone on Perioperative Opioid Requirements in Autologous Free Flap Breast Reconstruction.
The use of intraoperative methadone has received considerable attention due to reports of reduced postoperative pain and opioid consumption without increased risk of opioid-related side effects. The purpose of this study was to compare peri…
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Outcomes after tissue expander exchange to implant in two-stage prepectoral breast reconstruction with and without acellular dermal matrix: A retrospective cohort study.
As prepectoral implant placement becomes widely adopted, recent studies investigating the use of acellular dermal matrix (ADM) during tissue expander placement have demonstrated no major benefit with regard to postoperative outcomes. We sou…
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The Effect of Body Mass Index on Free Flap Breast Reconstruction.
[BACKGROUND] Literature addressing the risks associated with increasing body mass index (BMI) for patients undergoing free flap breast reconstruction is limited. Often, an arbitrary BMI cutoff (i.e., BMI of 30 kg/m) is used to determine ca…
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Physician Assistants in Plastic Surgery: A Descriptive Analysis Using the National Commission on Certification of Physician Assistants Dataset.
Physician assistants (PAs) play a vital role in the US health care system, particularly amid the persistent surgeon shortage and escalating health care demands. We aim to characterize the current cohort of PAs in plastic surgery by comparin…
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Analysis of Readmissions and Reoperations in Pediatric Microvascular Reconstruction.
[BACKGROUND] Free tissue transfer is utilized as a reconstructive option for various anatomic defects. While it has long been performed in adults, reconstructive surgeons have used free tissue transfer to a lesser degree in children. As su…
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A Comparison of Postoperative Outcomes Between Immediate, Delayed Immediate, and Delayed Autologous Free Flap Breast Reconstruction: Analysis of 2010-2020 NSQIP Data.
[BACKGROUND] While many factors influence decisions related to the timing between mastectomy and flap-based breast reconstruction, there is limited literature comparing postoperative complications between immediate (IBR), delayed immediate…
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Scheduled Postoperative Ketorolac Does Not Decrease Opiate Use following Free Flap Breast Reconstruction.
[BACKGROUND] In the setting of the opioid crisis, managing postoperative pain without the exclusive use of opiates has become a topic of interest. Many hospitals have begun implementing enhanced recovery after surgery protocols to decrease…
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Comparison of Human, Porcine, and Bovine Acellular Dermal Matrix in Prepectoral Breast Reconstruction: A Scoping Review.
[OBJECTIVE] The aim of the study is to determine rates of overall complications and failure of prepectoral breast reconstruction between various types of acellular dermal matrices (ADMs). [BACKGROUND] Implant-based breast reconstruction is…
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An Analysis of the Modified Five-Item Frailty Index for Predicting Complications following Free Flap Breast Reconstruction.
[BACKGROUND] The modified five-item frailty index is a validated and effective tool for assessing risk in surgical candidates. The authors sought to compare the predictive ability of the modified five-item frailty index to established risk …
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Autologous Fat Grafting to the Breast: An Educational Review.
Autologous fat grafting (AFG) is a technique that is increasingly utilized in breast cosmetic and reconstructive surgery. In this procedure, fat is aspirated by liposuction from one area of the body and injected into the breast. The procedu…
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Current Practices in the Pathologic Assessment of Breast Tissue in Transmasculine Chest Surgery.
[BACKGROUND] No guidelines exist regarding management of breast tissue for transmasculine and gender-nonconforming individuals. This study aims to investigate the experiences and practices regarding perioperative breast cancer risk manageme…
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A Nationwide Analysis of Early and Late Readmissions following Free Tissue Transfer for Breast Reconstruction.
[BACKGROUND] Traditionally, surgical quality outcomes are assessed using a 30-day postoperative window. For breast cancer patients undergoing free tissue transfer for breast reconstruction, we sought to describe the distribution of and spe…
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2011 ACGME Duty Hour Limits had No Association With Breast Reconstruction Complications.
[BACKGROUND] In 2011, the Accreditation Council for Graduate Medical Education (ACGME) instituted further duty hour restrictions in response to concerns over long work hours and sleep deprivation in trainees and their effects on patient out…
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Abdominal Contouring and Male Gender: Analysis of Complications Using the National Quality Improvement Program Database.
[BACKGROUND] Males represent a significant portion of patients undergoing abdominal contouring. Despite this, there are few studies examining the implication of gender on complications. [OBJECTIVE] The aim of this study was to examine the …
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Predictors of complications following breast reduction surgery: A National Surgical Quality Improvement Program study of 16,812 cases.
[BACKGROUND] Breast reduction is one of the most common procedures performed by plastic surgeons. Despite good outcomes and high patient satisfaction, there are little national data on the predictors that lead to complications in this patie…
- Response to letter commenting on predictors of complications following breast reduction surgery: A national surgical quality improvement program study of 16,812 cases.
- Corrigendum to "Predictors of complications following breast reduction surgery: A National Surgical Quality Improvement Program study of 16,812 cases" [J Plast Reconstr Aesthet Surg 72 (2019) 43-51].